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#3654 of 11K

94690

HCPCS Procedure Code

HCPCS code 94690 is the #3,654 most-billed Medicaid procedure code, with $1.4M in payments across 53K claims from 2018–2024. The national median cost per claim is $25.67.

Total Paid

$1.4M

0.00% of all spending

Total Claims

53K

Providers

101

Avg Cost/Claim

$26

National Cost Distribution

How much do providers bill per claim for 94690? Based on 94 providers billing this code nationally.

Median

$25.67

Average

$24.81

Std Dev

$13.34

Max

$56.46

Percentile Distribution (Cost per Claim)

p10
$5.06
p25
$14.56
Median
$25.67
p75
$35.22
p90
$41.50
p95
$43.88
p99
$52.07

50% of providers bill between $14.56 and $35.22 per claim for this code.

90% bill between $5.06 and $41.50.

Top 1% bill above $52.07.

About This Procedure

HCPCS code 94690 was billed by 101 providers across 53K claims, totaling $1.4M in Medicaid payments from 2018–2024. This code was used for 49K unique beneficiaries.

Risk Assessment

Billing Statistics

Median Cost/Claim

$25.67

Providers Billing

94

National Spending

$1.4M

Avg/Median Ratio

0.97×

Normal distribution

Top Providers Billing This Code

Ranked by total Medicaid payments for 94690

#ProviderTotal Paid
11811226749$216K
21194721043$142K
31619073046$82K
41780943696$81K
51114013315$78K
61407059199$73K
71851352678$72K
81578744892$59K
91891079893$58K
101821454505$53K
111578980736$37K
121306999792$35K
131619082625$32K
141699206409$30K
151083672133$29K
161417312166$29K
171760626477$28K
181679013098$23K
191225058969$23K
201013273085$21K

Showing top 20 of 101 providers billing this code

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